Health 2.0 - Frightening & Enlightening

I’ve been witness to quite a mental mindstorm brewing in my brain over the past few days, and it’s likely to consume my blog efforts for some time to come… (fair warning, or fantastic relief to my four or five regular readers.)

I attended my first non-high tech conference in years (where I wasn’t a speaker), the Drug Information Association’s (DIA) annual convention. There to represent the Academic Network, I was fortunate to research the state of the pharmaceutical industry’s online strategies; especially as consumers are flocking online to research medical conditions and the medicines they’re being prescribed.

Back to the Basics

What I found was quite surprising - for someone who recently declared 2008 to finally be the year of the business blog… the state of technology (and technical infrastructure) in pharma was pretty surprising.

Partly because of regulations, and I’m not sure what other excuses there are… but frankly I was appalled at the lack of IT infrastructure to do even the basics - like supporting remote work teams. (At least, assuming the session speakers I heard were representative.)

Some examples of issues I heard:

  • Many Medical Liaisons (remote representatives of pharma companies) have no access to a shared knowledge base with internal Medical Information team members. An example of a “case study knowledge repository” was shown, but there were no search capabilities, no collaboration capabilities, nothing beyond a database of PDFs or templates. It was as if I was looking at an online portal from 2000.
  • Many software representatives (Oracle, Microsoft and others were at the show) had no real notion of allowing their vertical tools to accept web-based information via XML and RSS. When I tried to describe why one might want to poll online communities for potential Adverse Events (something pharma has to monitor and report to the FDA on a strictly regulated basis); I got blank stares.
    • Meanwhile, according to JupiterResearch, the top three reasons people congregate online are:
      • To see what other consumers say about a medication or treatment (36%)
      • To research other consumers’ knowledge and experiences (31%)
      • To learn skills or get education to manage a condition (27%)

Between Rocks and Hard Places…

The panel I was most looking forward to, (and delighted to find it at the show) was titled “Drug Information, Wikipedia and Google Scholar: Implications for Medical Information.” It was both frightening and enlightening at the same time. I Twittered my thoughts as the thing was unfolding… but to net it out:

Frightening: Hearing panelists scoff at the lack of viability of Wikipedia because it’s not scientifically reviewed, yet having them be unwilling (or unable) to correct inadequacies themselves. Even when it comes down to correcting a “simple” edit like changing an inaccurate method of drug delivery - from “oral” to some other method. If they change one heinous error, does that mean the rest of the article is correct by implication?

Enlightening: Because of the advent of WikiScanner in August, 2007, even anonymous entries can be tracked to an IP address and attributed to an organization. Examples were shown where organizations (Diebold and others) altered Wikipedia entries “anonymously” and were later outed for doing so in Wired. The last thing these public companies, tightly regulated by the FDA (ugh, those poor people and their systems… more on that later), want is to be publicly derided for anonymous changes.

Meanwhile, look where most consumers go to find information about medical conditions online:

Health 2.0 Where People Search

So my new crusade is to do two things: help enlightened health care organizations safely enter the Health 2.0 space (while trying to stay patient - no pun intended), and to help those of us poor schlubs who are out there looking for information to find the most accurate, up-to-date information possible.

It’s a big job, but somebody has to do it. I welcome all the help I can get…

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